For most of the last decade this was a thought experiment. In 2026 it is a live commercial question and the answer investors need is not “yes eventually” but something more useful: what is technically achievable now, what is structurally blocked and where the value actually accrues. The short version: an AI native EHR is buildable and parts of it are already shipping. But the constraint has stopped being model capability. It is now data plumbing, regulatory conformity, liabil